Active NPI
Xing-Xing Luo, MD
- Psychiatry Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A73788
- Practice address
- 2101 Courage Dr
Fairfield, CA 94533-6717 - Phone
- (707) 784-2080
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A73788 | CA | Primary |
Addresses
Primary practice location
2101 Courage Dr
Fairfield, CA 94533-6717
Mailing address
2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A737880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73788 | CA | MD | Pharmacist |
| A73788 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Solano | Current | Accepting new patients | |
| County of Solano | Current | Accepting new patients | |
| County of Solano | Current | Accepting new patients |
Locations
2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131
275 Beck Ave
#5
Fairfield, CA 94533
Phone (707) 784-8362
275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8315
228 Broadway St
Vallejo, CA 94590
Phone (707) 553-5331
355 Tuolumne St
Vallejo, CA 94590
Phone (707) 553-5331
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Fairfield, CA
- NPI 1508072588
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1083845275
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1558573873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1316025216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 COURAGE DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336717",
"telephone_number": "707-784-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 COURAGE DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336717",
"telephone_number": "707-784-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "XING-XING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A73788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A737880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
- Patrick Aubrey Lumauod
- Charlin Amber Lumia, LMFT
- Nora Luna
- Catherine Ann Lundeen, MA, LMFT
- Jack Y S Luo, MD
- Lyubov Lupyan-Teytelman, P.A.
- Jade Sakura Lutz
- Luxottica of America Inc. (Lenscrafters #8556)
- Luxottica of America Inc. (LensCrafters #1179)
- Luxottica Retail North America Inc (Sears Optical #C0370)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.